convenience store gasoline theft report

City of Ramsey Police Department 7550 Sunwood Dr NW Ramsey, MN 55303 (763)427-6812 Convenience Store Gasoline Theft Report INSTRUCTIONS: This form is to be completed by the representative of the business wanting the arrest and/or criminal charging of a person responsible for the theft of fuel. An investigation will only be conducted if this form is filled out completely . Submit this completed document along with a copy of the purchase receipt and a DVD containing a video of the violation (if available), to a Ramsey Police Officer by calling (763)427-1212. This should be done as soon as possible after the incident. BUSINESS NAME BUSINESS PHONE # BUSINESS ADDRESS COMPLAINANT’S NAME (first, middle, last) DATE OF BIRTH COMPLAINANT’S POSITION/TITLE DATE OF THE OFFENSE (MONTH/DAY/YEAR) / / TIME OF THE OFFENSE : AM PM OFFENSE CAPTURED ON VIDEO? YES NO VEHICLE INFO MAKE MODEL COLOR STYLE (2 door, 4 door, SUV, truck, etc) LICENSE PLATE STATE OTHER SUSPECT INFORMATION SEX RACE APPROX. AGE CLOTHING DESCRIPTION DETIALS OF THE THEFT SUSPECT’S NAME (if known) SUSPECT’S DATE OF BIRTH (if known) I, the above complainant, observed the operator/occupant of the vehicle described above pump fuel from pump #_____ into the vehicle and drive off without making any form of payment or attempt to make any form of payment for $__________ worth of fuel. I am requesting the responsible person(s) be arrested / charged, and I promise I will appear in court if necessary. I understand that pursuant to MN state statute 609.505, knowingly providing false information of a crime to a Peace Officer is punishable by law. SIGNATURE OF THE COMPLAINANT COMPLAINANT INFORMATION SUMMARY OF OFFENSE CASE NUMBER

Upload: others

Post on 23-Feb-2022

1 views

Category:

Documents

0 download

Report

Download

Embed Size (px):

TRANSCRIPT

Page 1: Convenience Store Gasoline Theft Report

City of Ramsey Police Department 7550 Sunwood Dr NW

Ramsey, MN 55303 (763)427-6812

Convenience Store Gasoline Theft Report

INSTRUCTIONS: This form is to be completed by the representative of the business wanting the arrest and/or criminal charging of a person responsible for the theft of fuel. An investigation will only be conducted if this form is filled out completely. Submit this completed document along with a copy of the purchase receipt and a DVD containing a video of the violation (if available), to a Ramsey Police Officer by calling (763)427-1212. This should be done as soon as possible after the incident.

BUSINESS NAME BUSINESS PHONE #

BUSINESS ADDRESS

COMPLAINANT’S NAME (first, middle, last) DATE OF BIRTH COMPLAINANT’S POSITION/TITLE

DATE OF THE OFFENSE (MONTH/DAY/YEAR)

/ /TIME OF THE OFFENSE

: AM PM

OFFENSE CAPTURED ON VIDEO?

YES NO

VEH

ICLE

MAKE MODEL COLOR STYLE (2 door, 4 door, SUV, truck, etc)

LICENSE PLATE STATE OTHER

SUSP

ECT

INFO

ATI

SEX RACE APPROX. AGE CLOTHING DESCRIPTION

DETIALS OF THE THEFT

SUSPECT’S NAME (if known) SUSPECT’S DATE OF BIRTH (if known)

I, the above complainant, observed the operator/occupant of the vehicle described above pump fuel from pump #_____ into the vehicle and drive off without making any form of payment or attempt to make any form of payment for $__________ worth of fuel. I am requesting the responsible person(s) be arrested / charged, and I promise I will appear in court if necessary.

I understand that pursuant to MN state statute 609.505, knowingly providing false information of a crime to a Peace Officer is punishable by law.

SIGNATURE OF THE COMPLAINANT

COMPLAINANT INFORMATION

SUMMARY OF OFFENSE

CASE

MBE

Convenience Stores Keep Drivers Fueled...Convenience Stores Keep Drivers Fueled For the foreseeable future, gasoline will be the fuel of choice for U.S. drivers. and there are about

Gasoline Evaporative Losses from Retail Gasoline Outlets

“Path to Partnership”doas.ga.gov/assets/State Purchasing/Documents for... · •Security –No returned checks, no cash loss or theft •Convenience –Faster payments (usually

QuikTrip No.ww.charmeck.org/Planning/Rezoning/2015/090-106/2015... · Petition filed by QuikTrip Corporation to accommodate the development of a convenience store with gasoline sales

Topic 13 Theft Topic 13 Theft. Topic 13 Theft Definition ‘Theft’ is defined in s.1 of the Theft Act 1968: ‘A person is guilty of theft if he dishonestly

Convenience Stores - The Food Institute. Many convenience stores sell gasoline, and sales are therefore somewhat tied to gas prices. While these prices have been relatively stable